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Inspection carried out on 12 June 2019

During a routine inspection

About the service:

New Horizon is a domiciliary care agency. It provides personal care to people living in their own houses and flats. At the present time it provides a service for five people. Not everyone using the service receives personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found:

People and relatives said they were happy with the service and support they received. Comments included, “The carers are very good indeed, they know what help I need and they ask me on the day if there is anything else I would like support with,” “Staff come on time and they do a good job,” “We are really very happy with the service we get. Staff seem to be very committed to their work,” and “I am happy with it.”

There were appropriate safeguarding processes in place to safeguard people from harm that included a comprehensive risk assessment for people and staff.

There were appropriate numbers of staff to meet people's needs and safe recruitment practices were in place.

The provider had appropriate policies and procedures in place to support people safely with medicines if required.

The registered manager and staff had relevant health and social care qualifications and completed training to ensure they were able to meet people’s needs effectively. Support was provided appropriately for staff with regards to their professional roles.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Records showed people were supported to have their health needs met, with access to health professionals as required.

The registered manager and staff spoke about the people they supported with care and kindness. Assessments and care plans included details of their preferences and wishes for care and support. People told us they were fully involved in the assessment and care planning process.

There was sufficient detail and personalisation in the care plan to ensure the person's needs were met in a personalised way.

The provider had systems in place to ensure concerns and complaints were responded to in an appropriate way.

The provider had systems and processes in place to monitor the quality and safety of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

At the first inspection of this service on 4 October 2018 [report published on 16 October 2018] the provider only had one person who was using the service. As a result, there was insufficient evidence to be able to rate the service.

Why we inspected:

This was a planned inspection in line with our inspection schedule. We found the service met the characteristics of a "Good" rating in all areas.

Follow up:

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 4 October 2018

During a routine inspection

New Horizon Homecare Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of this inspection they were providing a service to one person.

The service was registered with the Care Quality Commission on 5 January 2017. This was their first comprehensive inspection since registration.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were appropriate safeguarding processes in place to safeguard people from harm that included a comprehensive risk assessment for people and staff.

There were sufficient staff to meet people's needs and safe recruitment practices were in place.

The person receiving the service did not need support with their medicines as this was provided by their relative. The provider did however have appropriate policies and procedures in place to support people safely with medicines if required.

The registered manager and staff had relevant health and social care qualifications and completed training to ensure they were able to meet people’s needs effectively. Support was provided appropriately for staff with regards to their professional roles.

Records showed appropriate consent had been sought in line with legislation and guidance.

Records showed the person was supported to have their health needs met, with access to health professionals as required.

The person and their relative told us the relationship between them and the provider was good. They both told us the relationship was a very caring one that they valued highly.

The registered manager and staff spoke about the person they supported with care and kindness. Assessments and care plans included details of their preferences and wishes for care and support.

The person's relative told us they were fully involved in the assessment and care planning process.There was sufficient detail and personalisation in the care plan to ensure the person's needs were met in a personalised way.

The provider had systems in place to ensure concerns and complaints were responded to in an appropriate way.

The provider had systems and processes in place to monitor the quality and safety of the service.

Due to the service currently only supporting one person we were unable to rate the service because there was insufficient evidence available for us to do so. The registered manager told us they were hoping to expand the service and provide support to more people which may enable us to rate the service at the next inspection.